| NPI | 1922703362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 350565) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL89900) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2026-07-30 |